Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $77.62 / $131.83	Facility		$15.85	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $34.67	Professional		$7.94	$10.00	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.30 / $15.49	Professional		$7.76	$12.30	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.75 / $11.75	Facility		$10.72	$11.75	$11.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $42.66	Professional		$10.72	$10.72	$42.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $41.69 / $69.18	Facility		$38.02	$41.69	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $23.99	Professional		$19.95	$23.99	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $13.80	Professional		$7.76	$10.72	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $21.38 / $32.36	Professional		$6.76	$21.38	$32.36